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Historical developments of nursing
Historical developments of nursing
Historical developments of nursing
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From the very beginning, advocacy has been the prominent role of nurses. The nursing profession’s unique nature of combining art, science, and ethics make it adapted to the changing health care system in a society. In fact, various influential pioneer nurses worked under worse conditions - limited resources, health access, challenging roles – and proved that positive outcomes can be achieved regardless. Although the autonomy of the nursing practice was interrupted since World War II, the current health care system, the Affordable Care Act (ACA), opened another opportunity for nurses to assert leadership in ensuring a safe, quality, and cost-effective patient care. Thus, to become better patient advocates, today’s nurses must be abreast
on their current roles, health trends, ACA impacts, and visions of nursing in the future. Patient Advocates Since nurses comprise the majority of the healthcare workforce, Nickitas, Middaugh, and Aries (2016) affirmed that nurses have the capability of delivering a safe, high quality, cost-effective patient care. With the ACA mandates, Kunic and Jackson (2013) enumerated ways nurses have already made the difference: improving healthcare access to deprived areas, promoting palliative care delivery, coordinating and managing care of chronic diseases, reducing hospitalization costs, enhancing care delivery through health technology, and providing primary care as advanced practitioners. As nurses’ role continues to evolve, a nurse must be able to assert his/her position, extent of advocacy, the impacts of policy changes, and the future task of nursing. A Nurse’s Position As the frontline caregivers, nurses play an important role in providing holistic care to patients while in the hospital. Implementing evidence-based measures, nurses can advocate for the latest intervention, utilize resources and current technology for a fast recovery. With the focus on wellness promotion and injury prevention, the nurse can actively involve the patient and family in the management of care during and after hospitalization. While nurses face heavy workloads, Nickitas et al. (2016) urged nurses to voice out concerns and promote a policy for a healthy working environment to ensure safe practices are upheld.
After reading the segment of your exposition on the four spheres of political action in nursing one particular detail drew my attention and that was that an organization is not strictly delineated as a facility we are employed by but also as a group of interest. With that in mind, it would be imperative to recognize numerous committees established in the VA to improve and regulate nursing care. For example, I have been part of Veterans' Education group which is focused on maintaining updated information resources available to patients as well as organizing beneficial events to disseminate vital information necessary for prevention and maintenance of wellness. Furthermore, I cannot omit the most valuable to my profession the Certified Diabetes
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
Nursing is definitely a great discourse community. But you’re probably wondering, what is a discourse community? Well John Swales, who is a professor of linguistics and co-director of the Michigan corpus of Academic Spoken English at the University of Michigan, wrote a book called “Genre Analysis” that explained what discourse community is and the characteristics for identifying what takes part as a discourse community. Swales defines discourse community as centrifugal; In other words, it tends to separate people into occupational or specialty-interest groups (Swales, John. “Genre Analysis” Writing about Writing. Wardle, et al. 220). So basically he’s saying that it is a group of people who communicate about similar interests that they have in common with each other. With that said, Nursing does count as a discourse community because it’s a field of people who share similar interests, value, and goals in their lives. Discourse communities takes place all around the world and plays an important role in communication. There is no way others can understand others without the use
Hanks, R.. (2008). The Lived Experience of Nursing Advocacy. Nursing Ethics, 15(4), 468-77. Retrieved February 27, 2012, from Research Library. (Document ID: 1486004371).
Nursing advocacy is a professional obligation and the standard of practice expected by the Ontario College of Nurses (CNO, 2009). The concept of advocacy is enshrined into the code of professional ethics that nurses “must promote the interests of clients in their care” (CNO 2009). To meet this standard the nurse must first ensure a deep understanding of advocacy and how it relates to the nursing profession. Advocacy in nursing is a concept that can be first seen in the early work of nursing theorist Florence Nightingale and her plight to protect the safety of patients through autonomous nursing actions (Goldie, 1987). Although the concept of advocacy had been presented in early nursing theory, the term “advocacy” had not been
This week I have learned about the importance and nurse’s role in the healthcare policy making. Nurses provide essential services and knowledgeable about client needs. They interact with healthcare consumers in a wide variety of settings. This provide nurses a wide knowledge about patients health needs, an understanding of factors that affect the health of patient and their families and have insight into how people respond to various strategies and services. Nurses play a vital role in interpreting people's needs and expectations for healthcare. They also understand the expectations and needs of society's vulnerable groups. Therefore, they have an important role in the development and enactment of policies that promote health and wellness
Frequently, nurses are confronted with the task of finding the balance between advocating for the patient, and remaining loyal to their hospital or institution (Hanks, 2007). Risks that are associated with patient advocacy are more on the institutional level (Bu & Jezewski, 2007). Risks such as accusations of insubordination, reputation slander, hostile work environment, and loss of job security are among some of the top reasons nurses tend to shy away for patient advocacy (Bu & Jezewski, 2007). Another problem with advocacy is that there isn’t a universal definition as to what being an advocate means, along with inconsistency of interpretations (Bu & Jezewski,
The healthcare system can be difficult for clients to navigate and they are often unsure how to access information which puts them at the mercy of others and can lead to feelings of helplessness (Erlen, 2006). Nurses can provide resources to educate patients when they becomes dependent on a health care provider and no longer feel in control of their own body which can lead to fear, hopelessness, helplessness and loss of control (Cousley et al., 2014). The change in roles individuals face can further increase their stress and feelings of powerlessness (Scanlon & Lee, 2006). According to the CNA code of ethics, nurses are responsible for protecting patients from objective risks that place them in an increased level of vulnerability (Carel, 2009). They can do this by providing the resources necessary for patients to educate themselves and be better able to cope with the health challenges they
Healthcare is viewed in an unrealistic way by most individuals. Many people view a physician as the only means to find a solution to their problem. Nurses are still seen by some as simply “the person who does what the doctor says.” This is frustrating in today’s time when nurses are required to spend years on their education to help care for their patients. In many situations nurses are the only advocate that some patients’ have.
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
A nurse’s role in our society today is exceptionally significant. Nurses are somewhat idolized and looked to as our everyday “superman”. “The mission of nursing in society is to help individuals, families, and groups to determine and achieve physical, mental, and social potential, and to do so within the challenging context of the environment in which they live and work” (“The Role of a Nurse/Midwife”). Many Americans turn to nurses for delivery of primary health care services and health care education (Whelan). In our country, there is constantly someone in need of health care. There will always be a baby being born or a person dying, someone becoming ill or growing old. Some people due to their physical and/or mental state of health are completely dependent on a nurse and wouldn’t be able to get through the simple obstacles of every day, or achieve the necessary requirements of a simple day without their aid. Not only do nurses help, and assist you when you’re sick, but also act to promote good health to others. They end...
In Nursing, there will always be instances where the patient's nurse needs to advocate for their patient. There are numerous reasons why a nurse would advocate for their patient ranging from getting the doctor to change the patient’s orders, helping the patient’s treatment team understand what it is the patient is requiring for the day, to expressing the patient’s last wishes before death. In every situation, the nurse should do what is in the patient’s best interest. Tomajan (2012), “Advocacy skills are the ability to successfully support a cause or interest on one’s own behalf or that of another. Advocacy requires a set of skills that include problem solving, communication, influence, and collaboration”(p. 2). With those skills, the nursing staff will be able to work together to advocate for their patients. Along with those skills, nurses need to keep in mind the three core attributes that are: safeguarding patients’ autonomy; acting on behalf of patients; and championing social justice in the provision of health care. (Bu & Jezewski, 2006)
The key aspects discussed in this paper will center around human trafficking and the need for nursing advocacy. Chapter 87, which is entitled “Human Trafficking: The Need for Nursing Advocacy” gives insight and defines the meaning of human trafficking but also lends the role of the nurse in the fight against such a heinous crime. Human trafficking is defined “as a serious crime of forced labor” (Mason, Gardner, Outlaw & O’Grady, 2016, p. 680). Unbeknownst to many, human trafficking is not restricted to just women, this crime can involve young children and also does not discriminate gender or ethnicity (Mason, Gardner, Outlaw & O’Grady, 2016).
Healthcare policy is quickly becoming one of the most important aspects of medical care in an evolving political climate. Nurses are beginning to realize the importance of policy in their work environments and may see how changes in policy can affect the health of their patients and even their own job satisfaction. Previously policy was left to lawmakers, but those in the trenches are speaking out and advocating for their own rights and the rights of their patients. There are several websites dedicated to health care policy, evidence based practice, and research towards finding better ways to eliminate public health disparities and prevent many of the major health care problems the United States faces as a nation. This
“Nursing is responsible to society in the sense that nursing’s professional interest must be perceived as serving the interests of society (ANA, 2010).” The social aspect of nursing helps get laws and new standards passed for the betterment of the people when it comes to health care. The ANA believes that nurses have an influence on social and public policy to promote social justice (ANA, 2010). It teaches the community how to take control of their health, by providing education for those with limited health care knowledge. As stated by the ANA, “public policy and the healthcare delivery system influence the health and well-being of society and professional nursing (ANA, 2010).” Therefore, it’s the nurse’s responsibility to step in and not only be an advocate for the people, but also educate the community about the benefits of working together to provide holistic health